DR. NICOLE ALEXIS ROY M.D.
NPI 1235317496
Radiology - Diagnostic Radiology in Knoxville, TN

Active since February 09, 2008PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
1400 DOWELL SPRINGS BLVD STE 200, KNOXVILLE, TN 37909(865) 584-0291(865) 584-4426 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Nicole Alexis Roy M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICOLE ALEXIS ROY M.D. (NPI 1235317496) is an individual diagnostic radiology provider in Knoxville, Tennessee, licensed in Tennessee (52733) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Desoto, and maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1235317496
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. NICOLE ALEXIS ROYCredential: M.D.
Location Address1400 DOWELL SPRINGS BLVD STE 200Knoxville, TN 37909-2457
Mailing AddressPo Box 1000, Dept 34Memphis, TN 38148-0001 · (901) 383-9478
Fax(865) 584-4426
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2003
Enumeration DateFebruary 9, 2008
Last NPPES UpdateSeptember 21, 2023
NPPES CertifiedSeptember 21, 2023
✔ NPI 1235317496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in TN · 52733✔ Licensed in UT · 5761651-1205
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1400 DOWELL SPRINGS BLVD STE 200, Knoxville, TN 37909

Secondary Practice Location 1

Location 150 Humphreys Ctr, Ste 23Memphis, TN 38120 · Phone (901) 226-0810

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicole Alexis Roy M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42389140
PECOS Enrollment IDI20150916001070, I20250709003351, I20250711002066
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Nicole Roy reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1400 DOWELL SPRINGS BLVD, SUITE 200
Knoxville, TN 37909
  • Reassigned Medicare billing, Tennessee enrollment
  • 14 clinicians in this Medicare group
Diagnostic Radiology
7600 WOLF RIVER BLVD., #200
Germantown, TN 38138
  • Reassigned Medicare billing, Arkansas, Mississippi and Tennessee enrollments
  • 68 clinicians in this Medicare group
Diagnostic Radiology
7600 WOLF RIVER BLVD, SUITE 100
Germantown, TN 38138
  • Reassigned Medicare billing, Tennessee enrollment
  • 57 clinicians in this Medicare group
Diagnostic Radiology
50 HUMPHREYS CENTER, SUITE 23
Memphis, TN 38120
  • Reassigned Medicare billing, Tennessee enrollment
  • 6 clinicians in this Medicare group
Family Medicine
965 AVENT DR, SUITE 100A
Grenada, MS 38901
  • Reassigned Medicare billing, Mississippi enrollment
  • 1,932 clinicians in this Medicare group
Radiology, Mobile Mammography
4800 E JOHNSON AVE
Jonesboro, AR 72405
  • Reassigned Medicare billing, Arkansas enrollment
  • 439 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
665 services665 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
660 services658 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
460 services449 patients
Complete ultrasound scan of 1 breast 76641
A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.
407 services403 patients
Diagnostic mammography of both breasts 77066
Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.
367 services366 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
181 services155 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250141
Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County
Emergency services Birthing friendly

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440048
Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County
Emergency services Birthing friendly

Baptist Memorial Hospital Union City

Acute Care Hospitals · Union City, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440130
Location1201 Bishop St, PO Box 310Union City, TN 38261 · Obion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37909 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
1400 DOWELL SPRINGS BLVD STE 200
KNOXVILLE, TN 37909
Radiology (Diagnostic Radiology)
1400 DOWELL SPRINGS BLVD STE 200
KNOXVILLE, TN 37909
Radiology (Diagnostic Radiology)
1400 DOWELL SPRINGS BLVD STE 200
KNOXVILLE, TN 37909
Internal Medicine (Hematology & Oncology)
1400 DOWELL SPRINGS BLVD STE 200
KNOXVILLE, TN 37909
Radiology (Diagnostic Radiology)
1400 DOWELL SPRINGS BLVD STE 200
KNOXVILLE, TN 37909
Radiology (Diagnostic Radiology)
1400 DOWELL SPRINGS BLVD STE 200
KNOXVILLE, TN 37909
Radiology (Diagnostic Radiology)
1400 DOWELL SPRINGS BLVD STE 200
KNOXVILLE, TN 37909
Radiology (Diagnostic Radiology)
1400 DOWELL SPRINGS BLVD STE 200
KNOXVILLE, TN 37909

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Roy's NPI number?

The NPI number for Nicole Roy is 1235317496. It was assigned to this individual provider in the NPPES registry on February 9, 2008.

Where is Nicole Roy located?

Nicole Roy practices at 1400 Dowell Springs Blvd Ste 200, Knoxville, TN 37909. The listed phone number is (865) 584-0291.

What is Nicole Roy's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Nicole Roy enrolled in Medicare?

Yes. Nicole Roy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicole Roy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Roy reassigns Medicare benefits to 6 organizations: Kamilia F Kozlowski (Knoxville, TN), Mid-South Imaging & Therapeutics, P.A. (Germantown, TN), West Tennessee Imaging, LLC (Germantown, TN), Womens Diagnostic Group PLLC (Memphis, TN), State Of Mississippi-University Of Mississippi Medical Center (Grenada, MS) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Roy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Roy accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 5 other insurers list Nicole Roy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicole Roy affiliated with any hospitals?

According to CMS data, Nicole Roy is affiliated with Baptist Memorial Hospital Desoto, Baptist Memorial Hospital and Baptist Memorial Hospital Union City.

When was this NPI record last updated?

The NPPES record for Nicole Roy was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.